| NPI | 1619261054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRANJAL H PATEL President Of Corporation 209-836-3967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A116600) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2011-06-02 |