| NPI | 1376940221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRASAD JEEREDDI CEO 909-624-8444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RR0500X Internal Medicine, Rheumatology | |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2022-10-18 |