| Organization Name: | FAMILY FIRST MEDICAL CARE A PROFESSIONAL CORPORATION |
| NPI Number: | 1689066029 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SILVIA M DIEGO (PRINCIPLE OFFICER) |
| Mailing Address: | 2603 Patterson Rd Suite 1 Riverbank |
| State: | CA US |
| Postal Code: | 953673407 |
| Phone Number: | 2098695678 |
| Fax Number: | 2098696357 |
| NPI Enumeration Date: | 02/23/2015 |
| NPI Last Update Date: | 05/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Multi-Specialty |
| Taxonomy Definition: | |