| NPI | 1275239311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUPA THACKER President 559-336-4535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2023-01-31 |
| Last Update Date | 2023-01-31 |