NPI | 1447572029 |
---|---|
Entity Type | Organization |
Authorized Contact | BERNADETTE F COSTA Billing Manager 909-882-6900 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A33374) |
Enumeration Date | 2010-02-23 |
Last Update Date | 2010-02-23 |