| NPI | 1295486173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY ADINMA Credentialing COO Rdinator 909-912-4310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083C0008X Preventive Medicine, Clinical Informatics Specialist |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2022-01-12 |