| NPI | 1245545664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J EDWARD BERNARDO MADDELA President/CEO/Incorporator 707-319-9790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2010-08-12 |