| NPI | 1124987201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAMITA MOHIDEEN CEO 909-823-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 208000000X Pediatrics | |
| Enumeration Date | 2026-01-15 |
| Last Update Date | 2026-01-15 |