NPI | 1467714550 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN W. ELSEA Owner 916-784-3303 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA DC18085) |
Enumeration Date | 2012-06-13 |
Last Update Date | 2012-06-13 |