| NPI | 1023256153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIJAYA K TANGELLA Owner 209-384-2704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A045065) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A045065) |
| Enumeration Date | 2009-01-27 |
| Last Update Date | 2023-12-26 |