| NPI | 1164859385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAOUF AZIZ IBRAHIM Pediatrician 909-946-4175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics Adolescent Medicine (Licence: CA AFE33327) |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2013-10-02 |