| NPI | 1609125152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANELLE ANN FONG President 559-244-6361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2012-09-05 |