| NPI | 1487934170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM AGUIRRE CEO 209-629-5357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA 0E20393) |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2011-08-25 |