| Organization Name: | DEL PUERTO HEALTH CARE DISTRICT |
| NPI Number: | 1063430916 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICHARD YOICHI NAKAMURA (CEO ADMINISTRATOR) |
| Mailing Address: | 1700 Keystone Pacific Pkwy Unit B Patterson |
| State: | CA US |
| Postal Code: | 953638874 |
| Phone Number: | 2098929100 |
| Fax Number: | 2098929102 |
| NPI Enumeration Date: | 07/18/2006 |
| NPI Last Update Date: | 02/13/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |