| NPI | 1467102491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARUL KARTHIK BALARAMALINGAM Credentialing Manager 909-398-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
| 207RN0300X Internal Medicine, Nephrology | |
| 207R00000X Internal Medicine | |
| 208600000X Surgery | |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2022-03-24 |