NPI | 1427380070 |
---|---|
Entity Type | Organization |
Authorized Contact | MARC HOWARD SHOMER CEO 909-636-8586 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: CA A95190) |
Enumeration Date | 2010-02-08 |
Last Update Date | 2021-02-02 |