NPI | 1407544216 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL EDJUA Owner/Medical Director 530-848-5863 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2023-04-28 |
Last Update Date | 2023-05-25 |