| NPI | 1275727166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES PETER DICKENS President 916-457-7424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: CA A55172) |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2012-03-14 |