NPI | 1003707340 |
---|---|
Entity Type | Organization |
Authorized Contact | HEMA MAJENO Physician Assistant 559-892-9889 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
208000000X Pediatrics | |
Enumeration Date | 2025-07-14 |
Last Update Date | 2025-07-14 |