| 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 |