| NPI | 1992022826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA TRANTHAM Residency Director 909-427-5083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: CA A111397) |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2021-04-14 |