| NPI | 1558026708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WASEEM KHADER Fellow 909-558-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2021-11-03 |
| Last Update Date | 2021-11-03 |