| NPI | 1366411092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT DONALD WENDEL CEO/Med Dir 559-320-2667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: CA A22525) |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2020-08-22 |