| NPI | 1881866093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE WALKER Contracts Administrator 909-398-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A47802) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2008-03-27 |