| NPI | 1609182815 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JULIE ANNE GUYETTE Owner/Operator 559-436-5265  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA 386046)  | 
| Enumeration Date | 2010-08-25 | 
| Last Update Date | 2013-01-09 |