| NPI | 1366799801 |
|---|---|
| Doing Business As | HOPE MEDIVAN |
| Entity Type | Organization |
| Authorized Contact | MANUEL L CANGA Medical Director 209-529-7346 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA 550001116) |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2012-08-14 |