| NPI | 1922210004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORA DYER Office Manager 909-484-4234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA G68072) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2010-06-22 |