NPI | 1841557691 |
---|---|
Former Legal Business Name | FRANK GIACOBETTI, M.D. |
Entity Type | Organization |
Authorized Contact | PENNIE LEANN TELARROJA Management 909-447-4787 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: CA G083591) |
Enumeration Date | 2012-04-18 |
Last Update Date | 2012-04-18 |