| NPI | 1073908158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOU CHOUA VANG President 559-999-5420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: CA A83557) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: CA A83557) |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2015-04-06 |