| NPI | 1740625607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA PLATT President 909-641-6708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA 20A10988) |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2013-08-26 |