| NPI | 1023011632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACIELA SOTO-PEREZ CEO 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 | 2023-05-23 |