| NPI | 1851404693 |
|---|---|
| Doing Business As | FONTANA FAMILY MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | GRACE ESCOBAL MURALIGOPAL Chief Financial Officer 909-790-5071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine | |
| 207QA0505X Family Medicine, Adult Medicine | |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2008-08-13 |