| NPI | 1427209618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHEAL GORMAN Attending Physician 209-558-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2010-10-01 |