NPI | 1073546032 |
---|---|
Doing Business As | FAMILY CARE PROVIDER MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | BONNIE RODRIGUEZ Administrator 559-495-6745 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2006-07-09 |
Last Update Date | 2025-08-06 |