| NPI | 1407999436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELTON RAY TRIPP Physician Assistant 559-786-7837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0002X Clinic/Center Emergency Care (Licence: CA PA18501) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2009-02-09 |