| NPI | 1174989297 |
|---|---|
| Other Name | CAMARENA HEALTH-COUNTRY CLUB DRIVE |
| Entity Type | Organization |
| Authorized Contact | PAULO A. SOARES CEO 559-664-4000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 040000045) |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2017-06-13 |