| NPI | 1578831996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLAS R DELA PENA President 209-722-1205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA A61619) |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2011-12-13 |