| NPI | 1710007786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHUSAL D MEHTA Director 559-591-1060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: CA 0A360470) |
| Enumeration Date | 2007-03-31 |
| Last Update Date | 2014-01-07 |