| NPI | 1194974402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCIO MAGDALENO Chief Executive Officer 657-276-7603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: CA 550000830) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 1194974402) |
| 207V00000X Obstetrics & Gynecology (Licence: CA 1194974402) | |
| 251S00000X | |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2022-09-27 |