| NPI | 1891935862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHSEN IBRAHIM ALI Owner 909-608-2008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A33406) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A101427) |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2015-06-18 |