| NPI | 1760624639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMUND O. PINEDA Owner 660-829-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 2005004444) |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2010-09-01 |