| NPI | 1801191929 |
|---|---|
| Doing Business As | PINE AVENUE URGENT CARE |
| Entity Type | Organization |
| Authorized Contact | JOHN DIMOWO President 909-287-7474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A52501) |
| Enumeration Date | 2011-01-20 |
| Last Update Date | 2011-01-20 |