| NPI | 1821271420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORRIS KOKHAB President 909-932-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A75850) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: CA A75850) |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2015-08-13 |