| NPI | 1700055274 |
|---|---|
| Doing Business As | ST. JOHN MEDICAL CLINIC |
| Doing Business As | ST. J OHN MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | MOSEN M DEFRAWY Owner/Medical Director 909-464-0520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA A30899) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2023-07-12 |