| NPI | 1326383704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OWEN BRYN MARRON President 916-742-4001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA AC 14630) |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2012-12-11 |