| NPI | 1023465184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAN G TRUONG Chief Medical Officer 916-760-7540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA 20A9831) |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2016-05-18 |