| NPI | 1609694371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNIEL KHEMLANI President 909-727-3911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 111N00000X Chiropractor |
| 208000000X Pediatrics | |
| 225100000X Physical Therapist | |
| 225200000X Physical Therapy Assistant | |
| Enumeration Date | 2024-10-01 |
| Last Update Date | 2024-10-01 |