| NPI | 1902830250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENUS BRINKMAN Executive Assistant 909-260-9890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A30523) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NV 3264) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-08-22 |