| NPI | 1457943151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHRAM KHORRAMI Partner 909-626-1205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2021-02-04 |
| Last Update Date | 2023-08-22 |