| NPI | 1184818338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA L VENEGAS Office Manager 909-620-0389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A35299) |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2007-08-30 |