| NPI | 1831414432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANKIS G ALMAGUEL Resident Physician 909-648-2037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: CA 2085R0202X) |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2020-05-21 |