| NPI | 1326704529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALINDA TUPPER VP Chief Financial Officer 559-624-4065 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2021-11-11 |
| Last Update Date | 2021-11-11 |