NPI | 1255109948 |
---|---|
Entity Type | Organization |
Authorized Contact | HAYATULLAH NIAZI President 916-244-4464 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
Enumeration Date | 2023-12-13 |
Last Update Date | 2024-06-17 |