| NPI | 1396316931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DYANNA JOHNSON Authorized Official 530-897-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2021-07-06 |
| Last Update Date | 2021-09-02 |