| NPI | 1477238681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH SCRIVEN Credentialing 916-663-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery |
| Enumeration Date | 2023-06-16 |
| Last Update Date | 2023-06-16 |