| NPI | 1487758132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT RIDLOVSKI Internal Medicine 909-481-0752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: CA A88847) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2010-02-26 |