| NPI | 1215081005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MASUD SEYAL Supervisor 916-734-8416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA 7921) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |