| NPI | 1104971423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDICE B DAVIS Chief Revenue Cycle Officer 916-990-7590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL 800020175) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2025-02-10 |