| NPI | 1710587670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AAMIR ZAIN JAMAL Owner 909-542-2777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QM2500X Clinic/Center, Medical Specialty | |
| 261QP1100X Clinic/Center, Podiatric | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2024-11-22 |