| NPI | 1437707387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN PAUL YOUSSRY KELADA Vice President/Secretary 916-786-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2019-09-03 |