| NPI | 1538491758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHALED MAWAHEB Physician 909-593-5544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A96423) |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2010-02-12 |