| NPI | 1609026806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI BETH CARMEAN Director, Credentialing 909-803-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology |
| Additional Taxonomies | 171100000X Acupuncturist |
| 175F00000X Naturopath | |
| 207L00000X Anesthesiology | |
| 207R00000X Internal Medicine | |
| 207RH0003X Internal Medicine, Hematology & Oncology | |
| 207RI0200X Internal Medicine, Infectious Disease | |
| 207ZC0006X Pathology, Clinical Pathology | |
| 2085R0001X Radiology, Radiation Oncology | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 2085R0203X Radiology, Therapeutic Radiology | |
| 208600000X Surgery | |
| 2086X0206X Surgery, Surgical Oncology | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2024-10-18 |