| NPI | 1275250805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ALEXANDER Credentialing Specialist 916-233-8607 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine |
| Enumeration Date | 2022-10-25 |
| Last Update Date | 2024-05-30 |