| NPI | 1982473799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QASIM BARRA Owner 909-528-5880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2023-12-21 |
| Last Update Date | 2025-03-13 |