| NPI | 1629481312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOISES ALVAREZ-FERNANDEZ CEO 559-920-2873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA PA21762) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2014-06-10 |