| NPI | 1174760953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAREY PAUL President 909-335-7171 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
| 208000000X Pediatrics | |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2011-05-24 |