| NPI | 1760497457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROYA TAHMASSEBI Office Manager 909-542-2770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2012-03-16 |