| NPI | 1831133768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS P FLYNN Vice President Of Medical Affairs 909-799-1818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 207Q00000X Family Medicine | |
| 208600000X Surgery | |
| 207R00000X Internal Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 152W00000X Optometrist | |
| 207W00000X Ophthalmology | |
| 207X00000X Orthopaedic Surgery | |
| 208000000X Pediatrics | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 207RR0500X Internal Medicine, Rheumatology | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2025-09-11 |