| NPI | 1598342636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYLVIA PRECIADO Owner 909-516-4160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2021-03-25 |