| NPI | 1477585925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS RAYMOND BIRLEW President 209-952-9696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A4979) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2015-04-01 |