NPI | 1003272469 |
---|---|
Entity Type | Organization |
Authorized Contact | GEOFFRET EVERSLEY WOO-MING Medical Director 916-366-7474 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A25036) |
Enumeration Date | 2016-01-14 |
Last Update Date | 2016-01-14 |