| NPI | 1154010072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOEL SERRANO Owner 707-535-9279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 363L00000X Nurse Practitioner | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2023-05-05 |
| Last Update Date | 2026-01-26 |