| NPI | 1770807901 |
|---|---|
| Doing Business As | PACIFIC MEDICAL WEIGHT LOSS |
| Entity Type | Organization |
| Authorized Contact | DAREN STEPHEN PRIMACK Owner 209-242-3334 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: CA G68135) |
| Enumeration Date | 2010-03-17 |
| Last Update Date | 2010-03-17 |