NPI | 1407129018 |
---|---|
Entity Type | Organization |
Authorized Contact | JUAN G CHAVEZ President/CEO 559-840-0066 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A67620) |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2012-02-13 |
Last Update Date | 2022-12-19 |