| NPI | 1386564094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA RODRIGUEZ Regional President 916-842-0298 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2026-07-21 |
| Last Update Date | 2026-07-21 |