| NPI | 1851684930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJEEV SHUKLA Owner 209-712-7017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A51690) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2025-03-26 |