| NPI | 1750556346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY ROBERT UNGER President 909-590-8409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G45569) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2008-05-22 |