| NPI | 1487729828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA I INGENDAAY President 530-272-0537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A52909) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2021-02-08 |