| NPI | 1447518816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUANITA ROMAN Office Manager 530-894-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A53520) |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2012-04-24 |