| NPI | 1770927071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIT REENU PALIWAL Medical Director 909-235-6770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A95984) |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2014-05-09 |