| NPI | 1558668269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | A J ROGERS President 909-370-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA 00G431511) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA PA18105) |
| Enumeration Date | 2011-02-15 |
| Last Update Date | 2018-05-07 |