NPI | 1821188384 |
---|---|
Doing Business As | RANCHO SIERRA MEDICAL GROUP, INC. |
Entity Type | Organization |
Authorized Contact | WILLIAM WAYNE HOOPER President 760-934-3424 |
Organization Subpart ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA G35446) |
Enumeration Date | 2006-10-13 |
Last Update Date | 2007-10-09 |