| NPI | 1497199772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN DAVID OU President 909-465-6342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A113176) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A113176) |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2026-08-18 |