| NPI | 1144682519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA BERG Office Manager 909-463-3489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: CA A47961) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2016-03-24 |