| NPI | 1811216096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROMMIE F FAKHOURY Medical Director 909-989-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A89167) |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2010-05-27 |