| NPI | 1992710552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON MONICA KOPACZ Physician Sole Owner 559-322-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2023-06-08 |