Organization
OAK GROVE CRITICAL CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARJOTH MALLI MD (CEO)
(415) 450-5921
Entity
Organization
Contact information
Practice address
465 W PUTNAM AVE, PORTERVILLE, CA 93257-3320
(559) 784-1110
Mailing address
5701 W BUENA VISTA AVE, VISALIA, CA 93291-9171
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
12/20/2016
Last updated
12/20/2016
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