| NPI | 1427585918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AL QUINTANA Vice President / Provider 909-510-9301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: CA A120670) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A120670) |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2017-05-16 |