| NPI | 1487151098 |
|---|---|
| Other Name | SAN BERNARDINO, CA |
| Entity Type | Organization |
| Authorized Contact | ANN B MERKOW President 414-566-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2020-10-20 |