| NPI | 1093919854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY HENDRICKSON Owner 916-984-3899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA G83722) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2020-08-22 |