| NPI | 1629020789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN L MAFFEO Chief Executive Officer 559-487-7806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 04000014) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2008-01-29 |