| NPI | 1669492591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY DIANE SWANSON Account Manager 909-882-0702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: CA G30299) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2017-10-18 |