LOS BANOS MEDICAL GROUP A MEDICAL CORPORATION

LOS BANOS, CA
NPI1801961925
Entity TypeOrganization
Authorized ContactJASON R MEVI
President
209-826-3200
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Additional Taxonomies207Q00000X Family Medicine
Enumeration Date2006-11-22
Last Update Date2010-01-14
Business Address
LOS BANOS MEDICAL GROUP A MEDICAL CORPORATION
400 WEST I STREET SUITE A
LOS BANOS, CA 93635
Phone number: 209-826-3200
Mailing Address
LOS BANOS MEDICAL GROUP A MEDICAL CORPORATION
400 WEST I STREET SUITE A
LOS BANOS, CA 93635
Phone number: 209-826-3200