| NPI | 1194932236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM PHANUCHARAS Owner Physician 559-261-2566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A82493) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |