| NPI | 1528381878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLISE NEGRETTE Billing Manager 909-882-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A72766) |
| Enumeration Date | 2010-03-01 |
| Last Update Date | 2010-03-01 |