| NPI | 1518180298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUCHAT JARIANGPRASERT Owner 559-225-7670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A38158) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |