NPI | 1710009659 |
---|---|
Doing Business As | WOODBRIDGE MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | MICHAEL H. KIRKPATRICK CEO 209-373-2833 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 030000424) |
Enumeration Date | 2007-04-04 |
Last Update Date | 2020-08-22 |