| NPI | 1407000250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARDO E ANGUIZOLA Medical Director 909-483-3530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA A37592) |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2008-11-06 |