| NPI | 1124104492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE ANDERSON Office Manager 559-781-0386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA 116) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2007-09-20 |