| NPI | 1235290818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRYL VANDENBOSCH CFO 909-881-7196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: CA 240000198) |
| Additional Taxonomies | 273R00000X Psychiatric Unit (Licence: CA 240000198) |
| 314000000X Skilled Nursing Facility (Licence: CA 240000198) | |
| 3336I0012X Pharmacy, Institutional Pharmacy (Licence: CA HSP37939) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2015-01-26 |