| NPI | 1770917064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS ORME President 559-432-5003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA G63574) |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2013-08-22 |