| NPI | 1154741783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THAO NGUYEN President/CEO 707-321-8542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: CA A76835) |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2014-08-19 |