| NPI | 1144755463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMA LUEVANO Office Manager 909-796-0363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A138592) |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2017-04-24 |