| NPI | 1649546144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAMITA PANDIRI MOHIDEEN Doctor 909-823-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A55769) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2024-08-26 |