NPI | 1154679447 |
---|---|
Entity Type | Organization |
Authorized Contact | MARTHA SEPEDA Administrator 559-635-7100 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A74119) |
Enumeration Date | 2012-08-17 |
Last Update Date | 2013-05-02 |