NPI | 1801918743 |
---|---|
Doing Business As | WOODBRIDGE MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | MICHAEL KIRKPATRICK CEO 209-373-2833 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 030000424) |
Enumeration Date | 2007-04-04 |
Last Update Date | 2020-08-22 |