| NPI | 1740452259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HORST R RUDRICH Physician / President 909-798-3061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A5970) |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2015-03-12 |