| NPI | 1265708572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVETTE VERONICA MIRAMONTES Physician Assistant 909-590-7093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA PA17726) |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2012-03-30 |