| NPI | 1487427837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY BROOKS President 530-906-0767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2024-01-14 |