| NPI | 1851774236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KULMEET SINGH DANG Director 209-575-4575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 146N00000X Emergency Medical Technician, Basic |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2015-07-03 |
| Last Update Date | 2015-10-08 |