| NPI | 1124717798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVON CASIDA RN P/Owner 559-294-4794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2023-05-01 |