| NPI | 1164865291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE BANH Secretary 559-978-8669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A93159) |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2013-04-08 |