| NPI | 1679375273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODRIGO KENNOSUKE CIFUENTES TESHIMA Medical Director 209-681-6227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2025-03-25 |
| Last Update Date | 2025-03-25 |