| NPI | 1225848823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMALYN MEJIA CEO 909-663-7345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2025-01-07 |
| Last Update Date | 2025-01-07 |