| NPI | 1164956785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW G PEREZ Clinic Management 909-581-5472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95006356) |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2017-04-20 |