| NPI | 1366496671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN L. MAFFEO Chief Executive Officer 559-487-7806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 040000509) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2008-01-29 |