| NPI | 1174772081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE WALKER Contracts Manager 909-398-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A47802) |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2008-09-16 |