| NPI | 1174082150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DUTTON Medical Director 916-215-4554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2023-09-17 |