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 | 2024-07-08 |