| NPI | 1568126654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACIELA SOTO PEREZ Chief Executive Officer 559-685-4601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2021-10-26 |
| Last Update Date | 2021-10-26 |