| NPI | 1861956971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEISHA L BALDEOSINGH President 909-654-2199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2019-01-23 |