| NPI | 1376659896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE MARIE HARRIS VAN DAHLEN Senior Associate Vice President 916-278-1772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: CA 261846341) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2024-06-18 |