| NPI | 1255035945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHZAD RAHIM FARUKHI Director 909-654-2199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RI0001X Internal Medicine Clinical & Laboratory Immunology |
| Enumeration Date | 2023-03-28 |
| Last Update Date | 2023-03-28 |