| NPI | 1528803277 |
|---|---|
| Doing Business As | INDEPENDENT |
| Entity Type | Organization |
| Authorized Contact | MERRY TAHERI CEO 909-917-5651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-06-26 |
| Last Update Date | 2024-06-26 |