| NPI | 1144764523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE V BALLESTEROS President 707-636-8346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2025-08-26 |