| NPI | 1306203773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNNY YEE FONG Medical Director 209-285-9688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A26653) |
| Enumeration Date | 2016-01-15 |
| Last Update Date | 2016-01-15 |