| NPI | 1982419081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELICA K ALDARACA Credentialing Manager 909-236-7994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2025-02-07 |
| Last Update Date | 2025-03-27 |