| NPI | 1346639952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRASAD A JEEREDDI CEO 909-398-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 207RC0200X Internal Medicine, Critical Care Medicine | |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207RS0012X Internal Medicine, Sleep Medicine | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology | |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2023-03-01 |