| NPI | 1194791715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE WHERRY Office Supervisor 916-984-8244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G63628) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2010-07-30 |