| NPI | 1891862553 |
|---|---|
| Doing Business As | BASELINE MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | HOANG-CHUONG N VU Medical Director 909-888-6602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: CA C27156) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2017-11-28 |