| NPI | 1962640565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TALMADGE CLIFFORD CAVINESS CEO/Medical Director 909-748-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A89627) |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2009-02-04 |