| NPI | 1790730786 |
|---|---|
| Doing Business As | MY FAMILY MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | JOSE ALEX LIRA Medical Director 909-591-6446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 208000000X Pediatrics | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2011-08-15 |