| NPI | 1699722744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA GUEVARA-CHANNELL Owner 909-483-7836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2011-04-26 |