| NPI | 1386724433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIEENE M WALKER Contracts Administrator 909-398-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2007-10-19 |