NPI | 1396488623 |
---|---|
Entity Type | Organization |
Authorized Contact | KEALANI KANEHE SINE President 559-713-6478 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207X00000X Orthopaedic Surgery |
363A00000X Physician Assistant | |
Enumeration Date | 2022-04-14 |
Last Update Date | 2023-06-19 |