| NPI | 1457050502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERYLL PRINZ-MCMILLAN CEO 909-801-1224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 133V00000X Dietitian, Registered | |
| 207QA0000X Family Medicine, Adolescent Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery | |
| 208600000X Surgery | |
| 225100000X Physical Therapist | |
| 363A00000X Physician Assistant | |
| 363AM0700X Physician Assistant, Medical | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2023-02-27 |
| Last Update Date | 2023-02-27 |