NPI | 1891123253 |
---|---|
Entity Type | Organization |
Authorized Contact | GEORGE YOUSSEF Medical Director 909-984-5808 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A42255) |
Enumeration Date | 2013-10-23 |
Last Update Date | 2013-10-23 |