NPI | 1356955736 |
---|---|
Entity Type | Organization |
Authorized Contact | MAXWELL JEN CEO, Medical Director 909-964-9472 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
Enumeration Date | 2020-09-03 |
Last Update Date | 2021-12-22 |