| NPI | 1063403129 |
|---|---|
| Doing Business As | FOOTHILL PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | ANDREW D. JAHN Vice President For Finance 209-536-5011 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2013-04-02 |