| NPI | 1386937977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA M HYLEN Chief Financial Officer 916-851-2559 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2020-11-18 |