| NPI | 1184847592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAIM S KATIBY President 916-525-1181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA A508260) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |