| NPI | 1124543129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AJAY G MEKA Physician 909-391-4138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2022-07-21 |