| NPI | 1548535446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES SABBAH Medical Director 909-881-4115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 20682) |
| Enumeration Date | 2012-03-12 |
| Last Update Date | 2013-02-26 |