| NPI | 1134325822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGIO RENE GOMEZ Medical President 909-868-1620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A74276) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2016-05-31 |