| NPI | 1316075831 |
|---|---|
| Doing Business As | CORCORAN WELLCARE MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | EZRA SCOTT NIELSEN Owner 559-992-0082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A44146) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2008-07-08 |