| NPI | 1144282732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE M WALKER Contracts Administrator 909-398-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2007-10-10 |