| NPI | 1033320726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIAN FUENTES Contracted Physician 530-242-7580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: CA G45631) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |