| NPI | 1205570181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASPREET NANRA Owner 209-720-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2022-04-26 |
| Last Update Date | 2024-05-09 |