| NPI | 1801999404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | POONAM BUTTAN Secretary 559-782-0581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A33656) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A43173) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2008-01-16 |