| NPI | 1346953155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRY HYDASH President & CEO 559-737-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-12-27 |
| Last Update Date | 2024-02-28 |