| NPI | 1598185688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUNGTIWA WEERASETHSIRI M.D./President 209-383-1343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A106684) |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2014-04-16 |