| NPI | 1295544682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDY LEYVA Director Of Practice Management 559-784-5483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2024-12-31 |
| Last Update Date | 2024-12-31 |