| NPI | 1447625751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTINA TONG Partner 559-432-4948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 29003) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: CA A63350) | |
| Enumeration Date | 2015-12-11 |
| Last Update Date | 2015-12-11 |