| NPI | 1477962645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANVEER S. BAJWA President 209-993-7471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A129058) |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2014-08-12 |