| NPI | 1457379034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMIE LYNN TURNURE Business Operations Manager 916-300-1188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G80859) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A66121) |
| 207Q00000X Family Medicine (Licence: CA A83419) | |
| 207Q00000X Family Medicine (Licence: CA G70114) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2024-02-14 |