| NPI | 1801143102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN T BAKOS Owner/Physician 916-784-1050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A67792) |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2013-04-30 |