| NPI | 1770144974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISSA VILLARD Director 559-734-1321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2019-09-16 |