| NPI | 1952334070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY GRAMES Managing Partner 909-557-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA ZZZ31558Z) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2012-01-09 |