NPI | 1023011632 |
---|---|
Entity Type | Organization |
Authorized Contact | GRACIELA SOTO PEREZ Chief Executive Officer 559-685-4601 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 120000639) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
261QA0005X Clinic/Center, Ambulatory Family Planning Facility | |
261QD0000X Clinic/Center, Dental | |
261QM1300X Clinic/Center, Multi-Specialty | |
Enumeration Date | 2005-05-27 |
Last Update Date | 2024-07-08 |