NPI | 1366168049 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY LOU LOPEZ Director Of Billing 559-646-6618 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2022-10-14 |
Last Update Date | 2022-10-14 |