NPI | 1417454844 |
---|---|
Entity Type | Organization |
Authorized Contact | SUNIEL S. KHEMLANI President 909-727-3911 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
261QP2300X Clinic/Center, Primary Care | |
Enumeration Date | 2018-04-11 |
Last Update Date | 2024-08-14 |