| NPI | 1275863284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH M YOUNG President 916-428-2330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A20724) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: CA A20724) |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2015-01-12 |