| NPI | 1629053723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM PEVSNER President/Physician 909-394-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A5383) |
| Enumeration Date | 2005-12-12 |
| Last Update Date | 2018-05-11 |