| NPI | 1225380868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA M BAGUINDO Office Manager 209-474-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA A054317) |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2012-10-05 |