| NPI | 1386998425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVI MAHINDRA Nurse Practitioner 559-367-4393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QV0200X Clinic/Center, VA (Licence: CA 22016) |
| Enumeration Date | 2012-10-26 |
| Last Update Date | 2012-10-26 |