| NPI | 1871783142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE G LIMON-OLIVARES Secretary 209-204-0064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A80753) |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2007-08-01 |