| NPI | 1740505742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS P. FLYNN Vice President Of Medical Affairs 909-335-4101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A54985) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A74104) |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2010-04-01 |