| NPI | 1205962420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A OLSON Owner Partner 209-848-1582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G62203) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G40340) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: CA G40340) | |
| 363A00000X Physician Assistant (Licence: CA P65607) | |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2014-11-20 |