| NPI | 1902185630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULO A SOARES Chief Executive Officer 559-664-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 550001827) |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2015-04-30 |