| NPI | 1851453757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE M WALKER Contracts Administrator 909-398-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2020-08-22 |