| NPI | 1104210608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALASDAIR JONATHAN PORTEUS Chief Executive Officer 916-737-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2017-08-16 |