| NPI | 1881132785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIOPHER DOAN Chief Compliance Counsel 909-235-4307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207RI0200X Internal Medicine, Infectious Disease | |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 208600000X Surgery | |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2017-02-10 |