| NPI | 1669775144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DASARATHA R VEMIREDDY Doctor 209-826-0477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: CA A32138) |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2010-12-06 |