| NPI | 1881706521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELODIA AQUINO ELIAZO M.D./President 559-268-9737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A42414) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2018-02-22 |