| NPI | 1215573613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD BRIAN RIEMER Vice President 209-645-4005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2023-05-22 |