NPI | 1770535825 |
---|---|
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 040000309) |
Enumeration Date | 2006-05-17 |
Last Update Date | 2008-01-29 |