| NPI | 1407723406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKLESH AHNEEL KUMAR Owner 916-661-8611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-10-22 |
| Last Update Date | 2025-10-22 |