| NPI | 1518410539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRINETTE GOMEZ Account Manager 909-793-5511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA A102551) |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2016-07-26 |