| NPI | 1497785455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTY S BALDERSTON Administrator 209-942-1005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2011-01-11 |