| NPI | 1326147919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIRUPA PRASAD Lvn 916-875-0802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA vn196077) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-08-22 |