| NPI | 1790029205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES SABBAH Medical Director 909-881-4115 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2012-11-21 |
| Last Update Date | 2013-01-22 |