| NPI | 1194924670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AJIT SINGH KHAIRA Owner 559-233-0933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: CA A46411) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2008-06-06 |