| NPI | 1184727059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY LYNN MAGUIRE Administrative Assist 530-332-6021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A5317) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2013-10-10 |