| NPI | 1225217169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULINE A HILTON Clinic Manager 909-381-0803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: CA 3049994) |
| Enumeration Date | 2007-10-28 |
| Last Update Date | 2008-02-22 |