| NPI | 1427019397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIONEL BERNARD KATCHEM President 909-373-0381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA 20A4524) |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2010-07-01 |