| NPI | 1760651335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN G BAUTISTA Medical Director 559-233-0335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 00A677520) |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2024-01-11 |