| NPI | 1396983094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM LEONARD EBBELING CEO 559-490-0234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CA C50225) |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2015-08-18 |