| NPI | 1225448020 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | CARLOS F BAYARDO CEO/Medical Director 559-685-9808 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 6334) | 
| Enumeration Date | 2014-05-01 | 
| Last Update Date | 2014-05-01 |