| NPI | 1275691594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEAN STORDAHL Medical Center Director 909-825-7084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital (Licence: LA G03312) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-08-22 |