| NPI | 1326494378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER DOAN Chief Compliance Counsel 909-235-4307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 208600000X Surgery | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2016-05-12 |