| NPI | 1295116051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE HUBBARD Business Manager 530-345-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2015-10-06 |