| NPI | 1205683224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GURJEET SANDHU Vice President & CFO 209-384-6516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-05-06 |
| Last Update Date | 2024-05-06 |