| NPI | 1619242401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BHUPAL KOMMINENI President 909-945-2425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| 207L00000X Anesthesiology | |
| 207N00000X Dermatology | |
| 207P00000X Emergency Medicine | |
| 207Q00000X Family Medicine | |
| 207T00000X Neurological Surgery | |
| 207W00000X Ophthalmology | |
| 207X00000X Orthopaedic Surgery | |
| 207Y00000X Otolaryngology | |
| 2084P2900X Psychiatry & Neurology, Pain Medicine | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 208600000X Surgery | |
| 208800000X Urology | |
| 208D00000X General Practice | |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2012-03-13 |