| NPI | 1346103025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TASNIM KHAN Chief Medical Officer 916-601-0904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 133N00000X Nutritionist |
| 174N00000X Lactation Consultant, Non-RN | |
| 251B00000X Case Management | |
| Enumeration Date | 2025-12-08 |
| Last Update Date | 2025-12-08 |