| NPI | 1184063604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERYL M OCHOA Contract/Coding Specialist 916-525-0620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA G297720) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2024-07-12 |