| NPI | 1144751306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONG CHEN Doctor Of Medicine 916-733-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA C374621) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA C374621) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2017-08-17 |