NPI | 1902679798 |
---|---|
Other Name | FIRST CHOICE MED, LLC |
Entity Type | Organization |
Authorized Contact | GABRIELLE GONZALEZ Credentialing & Cpntracting Officer 909-684-4404 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2023-11-02 |
Last Update Date | 2023-11-02 |