| NPI | 1669889986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOC PHAM Director 909-427-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital (Licence: CA 806523) |
| Additional Taxonomies | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: CA 806523) |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2014-07-18 |