| NPI | 1639061872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCIEN ALEXANDRE Medical Director 909-623-7799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 363LP1700X Nurse Practitioner, Perinatal |
| 207V00000X Obstetrics & Gynecology | |
| Enumeration Date | 2025-07-21 |
| Last Update Date | 2025-09-03 |