| NPI | 1265016687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLISE M NEGRETTE Medical Biller 909-793-5511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2021-05-11 |
| Last Update Date | 2021-05-11 |