| NPI | 1881472520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE ANN FRANCO Admin 909-949-9299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2023-09-14 |
| Last Update Date | 2023-09-14 |