| NPI | 1417220138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BOHLMAN President 559-417-7743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A94482) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A94481) |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2012-02-10 |