| NPI | 1528601218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PREM SAHASRANAM President 559-587-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 163WD0400X Registered Nurse Diabetes Educator | |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism | |
| Enumeration Date | 2019-10-24 |
| Last Update Date | 2025-09-04 |