| NPI | 1831365667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA PERKO CFO 909-335-7171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208000000X Pediatrics | |
| 207V00000X Obstetrics & Gynecology | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2009-10-27 |