NPI | 1316264641 |
---|---|
Other Name | LAGUNA FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | GLENDA GOODWIN Owner 916-691-4300 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A71660) |
Enumeration Date | 2010-04-26 |
Last Update Date | 2011-08-10 |