| NPI | 1295130821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN OSBORNE President 530-244-4577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA 20A11216) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: CA 20A7894) |
| 363AM0700X Physician Assistant, Medical (Licence: CA 13754) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 17414) | |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2024-07-09 |