| NPI | 1558788331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO PEVERINI President 909-558-7448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| Enumeration Date | 2014-03-18 |
| Last Update Date | 2025-09-10 |