| NPI | 1972803070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALLIK THATIPELLI Director 661-873-4216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA C53592) |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2011-02-02 |