| NPI | 1114476413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY PAIK-NICELY Owner 707-442-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA g44510) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: CA NMW 235678) |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2016-09-27 |