| NPI | 1659066785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI VINUELA Office Manager 559-908-8158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2023-04-05 |
| Last Update Date | 2023-04-05 |