NPI | 1568522878 |
---|---|
Doing Business As | TRACY OCCUPATIONAL MEDICAL CENTER |
Entity Type | Organization |
Authorized Contact | JAGDISH AMBALAL PATEL President 209-832-8984 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A7496) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A31816) |
207Q00000X Family Medicine (Licence: CA A855092) | |
207QS0010X Family Medicine, Sports Medicine (Licence: CA 20A7496) | |
Enumeration Date | 2006-12-11 |
Last Update Date | 2022-10-19 |