| NPI | 1184021800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN NOEL ANDERSON Physician Assistant 530-410-3675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA PA52159) |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2016-05-18 |