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 |