| NPI | 1346586906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELENE NOVESTERAS Physician 209-833-3386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA A051250) |
| Enumeration Date | 2012-12-28 |
| Last Update Date | 2012-12-28 |