NPI | 1750944286 |
---|---|
Doing Business As | SAN DIMAS FAMILY CLINIC |
Entity Type | Organization |
Authorized Contact | CLIFFORD SUSSMAN Owner 909-599-9921 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2019-04-19 |
Last Update Date | 2019-04-19 |