| NPI | 1275647737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNELL MAE SERDA Manager 916-789-1798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: CA 029336) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2008-09-17 |