| NPI | 1619098829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASVIR SIDHU Medical Director 559-562-9395 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health (Licence: CA ZZZ02973Z) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2008-01-24 |