| NPI | 1215243340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLAN G KAVALICH CEO 909-381-1595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: CA G29326) |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2010-08-26 |