| NPI | 1063698041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGILIO C. ERESO President 209-579-7461 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: CA A30308) |
| Enumeration Date | 2008-01-21 |
| Last Update Date | 2008-01-23 |