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 |