NPI | 1447309885 |
---|---|
Entity Type | Organization |
Authorized Contact | PAULO A SOARES Chief Executive Officer 559-664-4000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 550000137) |
Additional Taxonomies | 207Q00000X Family Medicine |
1041C0700X Social Worker, Clinical | |
1223G0001X Dentist, General Practice | |
126800000X Dental Assistant | |
Enumeration Date | 2007-01-08 |
Last Update Date | 2019-07-16 |