| NPI | 1396173829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAN ANWAR FAHMY GABRIEL Owner 559-708-0837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A95909) |
| Additional Taxonomies | 261QF0050X Clinic/Center, Family Planning, Non-Surgical (Licence: CA A95909) |
| Enumeration Date | 2013-10-18 |
| Last Update Date | 2013-10-18 |