| NPI | 1679776090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE MARIE WALKER Contracts Manager 909-398-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2020-08-22 |