| NPI | 1720162563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD J SANTORO Medical Director 559-237-1580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA A21184) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |