| NPI | 1699921577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLANDO UYKIMPANG Physician/Owner 909-481-1002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A91957) |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2014-06-18 |