| NPI | 1821462904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER J LONG Business Partner 559-432-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A32806) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: DC32064) |
| 111N00000X Chiropractor (Licence: DC29486) | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2015-11-30 |
| Last Update Date | 2016-01-22 |