| NPI | 1972586972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYLVIA JIMENEZ Staff Accountant 559-791-2549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 01185) |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2024-04-17 |