| NPI | 1184654576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENITA LISA CUSHINGBERRY-TURNER Executive Director Medical Director 559-221-7980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A52758) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA10217) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2020-08-22 |