NPI | 1003000563 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD B. CHUN President 916-783-7118 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA C28231) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA C28231) |
Enumeration Date | 2007-08-28 |
Last Update Date | 2014-04-24 |