| NPI | 1649714734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN K GAMBLE President 909-625-0661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A76121) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 208D00000X General Practice | |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2016-12-08 |