| NPI | 1902094782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEELA N ANSARI President 209-845-1346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA A84699) |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2007-10-05 |