| NPI | 1295583250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEHROZ HAMKAR Owner 909-763-3363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2024-05-07 |
| Last Update Date | 2024-05-07 |