| NPI | 1952919532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA HUSSAIN AHMED CEO 909-456-9601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-07-20 |