NPI | 1336172113 |
---|---|
Entity Type | Organization |
Authorized Contact | JEANIE GORI Office Manager 530-532-7650 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A70256) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A71743) |
207W00000X Ophthalmology (Licence: CA A68430) | |
Enumeration Date | 2006-07-07 |
Last Update Date | 2008-04-08 |