| NPI | 1457565152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA GREEN Executive Assistant 707-267-9580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2022-09-14 |