| NPI | 1366864654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE WALKER Contracts Manager 909-398-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| Enumeration Date | 2014-01-06 |
| Last Update Date | 2014-08-11 |