| NPI | 1871845263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK L CANTRELL Physician 559-435-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA A23314) |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2012-10-09 |