| NPI | 1548414717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY LOEWEN Office Manager 559-221-1116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA G24344) |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2009-01-06 |