| NPI | 1417745936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM DELA PAZ Owner 909-910-2804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2025-04-25 |
| Last Update Date | 2025-04-25 |