| NPI | 1467658310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE DAVID RAPHAEL Owner 909-580-6275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA G33789) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2007-10-18 |