| NPI | 1164890083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLETTE VAQUILAR Insurance Specialist 559-323-4990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C54515) |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2015-09-09 |