| NPI | 1487340519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN B ANDRESEN Billing Manager 559-455-8944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2024-11-22 |