| NPI | 1700257789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIMHA SUDHANI GUNAWARDANA President 909-965-1215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA A101531) |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2024-05-03 |