| NPI | 1356815542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY BRANDON THORNOCK CEO 530-246-5710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 174400000X Specialist | |
| 207R00000X Internal Medicine | |
| 207RG0100X Internal Medicine Gastroenterology | |
| 207RP1001X Internal Medicine Pulmonary Disease | |
| 207RR0500X Internal Medicine Rheumatology | |
| 207RN0300X Internal Medicine Nephrology | |
| 207W00000X Ophthalmology | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry | |
| 208600000X Surgery | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2024-10-16 |