NPI | 1760434831 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN L MAFFEO Chief Executive Officer 559-487-7806 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 040000557) |
Enumeration Date | 2006-05-17 |
Last Update Date | 2008-07-14 |