| NPI | 1366765091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA LOPEZ Manager 530-751-9605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2010-03-09 |