| NPI | 1154431260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUGUST RAYMOND GERDES President 559-431-0210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C23741) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2009-06-03 |