| NPI | 1063068930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL BETTS CFO 530-582-6656 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2019-08-15 |