| NPI | 1700713195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHISH BHAVSAR CEO 909-631-8521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207N00000X Dermatology |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 2084H0002X Psychiatry & Neurology, Hospice and Palliative Medicine | |
| 208D00000X General Practice | |
| Enumeration Date | 2026-05-07 |
| Last Update Date | 2026-05-07 |