| NPI | 1194824722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANETTE PETERS Office Administrator 559-637-9818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: CA G33404) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2008-07-22 |