| NPI | 1548356884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK X WU Secretary 909-773-0022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A8127) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A69486) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-08-22 |