| NPI | 1255527461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL GARCIA Administrator/Authorized Official 909-434-0808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA a71133) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2024-05-17 |