| NPI | 1164668786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA J WARNER Admin COO Rdinator 909-865-9501 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: CA 550000880) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2009-01-02 |
| Last Update Date | 2025-09-04 |