NPI | 1386240034 |
---|---|
Entity Type | Organization |
Authorized Contact | KURT TAMARU CEO 707-365-5178 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
261Q00000X Clinic/Center | |
Enumeration Date | 2020-12-08 |
Last Update Date | 2025-10-06 |