| NPI | 1689066029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SILVIA M DIEGO Principle Officer 209-522-3362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2025-08-26 |