| NPI | 1912199084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRAINE CABATUANDO UYTINGCO CFO/Vice President 209-620-3013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA C50496) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2007-08-13 |