| NPI | 1508583089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRASAD ANJANEYA JEEREDDI CEO 909-398-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology |
| Enumeration Date | 2022-10-25 |
| Last Update Date | 2022-10-25 |