| NPI | 1942506605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACIELA SOTO PEREZ Chief Executive Officer 559-685-4601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 550001577) |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2021-10-07 |