| NPI | 1063815165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOU HER Majority Owner 916-706-1458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20a11874) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA dc28085) |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2015-12-09 |