| NPI | 1942599600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN ROCHA Owner 909-659-2850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2011-04-04 |