| NPI | 1053420810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD G WILLIAMS Cred / Contracting 559-303-8683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A34491) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2023-03-29 |