| NPI | 1902528441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA VEGA Office Administrator 559-710-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2023-11-29 |