| NPI | 1699275644 |
|---|---|
| Doing Business As | SPECIAL CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL AWAD Administrator 909-576-3310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: CA A55643) |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2018-03-08 |