| NPI | 1013406610 |
|---|---|
| Other Name | YOSEMITE AVE. |
| Entity Type | Organization |
| Authorized Contact | LUZVINDA GABRIELA MARTINEZ Billing Supervisor 559-664-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2018-05-09 |