| NPI | 1558837153 |
|---|---|
| Doing Business As | IEHC FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JEFFREY RYAN LANGDON Administrator 909-936-9118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2018-10-22 |