| NPI | 1952032740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRIS C DICHUPA President 209-403-8259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 282N00000X General Acute Care Hospital |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2022-06-22 |