| NPI | 1194864769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REZA VAFADOUSTE President 209-575-4575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A79905) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A79905) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2010-04-16 |