| NPI | 1497536494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMAD MOUSAD Owner 559-413-1124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| Enumeration Date | 2023-10-06 |
| Last Update Date | 2025-08-12 |