| NPI | 1659134252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUN CHIONG CEO/President 909-809-0289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TC0700X Psychologist Clinical | |
| 1223D0004X Dentist Dentist Anesthesiologist | |
| 207R00000X Internal Medicine | |
| 207RG0300X Internal Medicine Geriatric Medicine | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 251S00000X Community/Behavioral Health | |
| 261QA1903X Clinic/Center Ambulatory Surgical | |
| 261QD0000X Clinic/Center Dental | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QP2300X Clinic/Center Primary Care | |
| 261QR1100X Clinic/Center Research | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| 207RC0000X Internal Medicine Cardiovascular Disease | |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2024-02-05 |