| NPI | 1174890305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL D. MOODY Chief Financial Officer 925-941-2159 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 140000285) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2011-11-16 |