| NPI | 1891335477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL LYONS CEO/President 909-566-2669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 207ZC0006X Pathology Clinical Pathology | |
| Enumeration Date | 2020-01-10 |
| Last Update Date | 2020-12-07 |