| NPI | 1770809055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARIA MAJZOUBI CEO 559-740-7989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A85143) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2014-10-10 |