| NPI | 1790501393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUN RATUNIL CHIONG CEO/President 909-809-0289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2024-11-27 |
| Last Update Date | 2024-11-27 |