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 |