| NPI | 1710172721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY BURGINS Billing Supervisor 559-783-1181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A43893) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2015-04-24 |