| NPI | 1740711324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET M STEARS Practice Manager 909-338-9880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery |
| Additional Taxonomies | 208600000X Surgery |
| 2086S0102X Surgery, Surgical Critical Care | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery | |
| 363AS0400X Physician Assistant, Surgical | |
| 364SA2100X Clinical Nurse Specialist, Acute Care | |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2017-08-29 |