| NPI | 1851463830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESIREE M HERNANDEZ Office Manager 559-438-0292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A305820) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2008-02-08 |