NPI | 1316113145 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA PERKO CFO 909-335-7171 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
208000000X Pediatrics | |
Enumeration Date | 2008-05-01 |
Last Update Date | 2009-07-13 |