| NPI | 1922074608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA SANCHEZ Office Manager 909-902-9998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A50414) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA C43068) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2020-08-22 |