| NPI | 1184795882 |
|---|---|
| Doing Business As | DIVISION OF PUBLIC HEALTH |
| Entity Type | Organization |
| Authorized Contact | BERNICE WALTON Division Chief 916-875-6086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA 05D0644185) |
| Additional Taxonomies | 251K00000X Public Health or Welfare (Licence: CA G45398) |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2025-09-11 |