| NPI | 1487751665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN JASON LOVELESS President 909-591-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A8555) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |