| NPI | 1124305495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOLIN MALICAY Chief Executive Officer 707-521-4545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA LCS15758) |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2011-11-14 |