| NPI | 1487395588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARUL KARTHIK BALARAMALINGAM Credentialing Manager 909-398-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2022-04-05 |