| NPI | 1427380112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN VASILE Medical Director 909-948-8050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA20738) |
| Enumeration Date | 2010-02-04 |
| Last Update Date | 2010-02-04 |