| NPI | 1659134252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUN CHIONG CEO/President 909-809-0289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist | |
| 103TC0700X Psychologist, Clinical | |
| 1223D0004X Dentist, Dentist Anesthesiologist Speciality | |
| 207R00000X Internal Medicine | |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 251S00000X | |
| 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 | |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2024-02-05 |