| NPI | 1497057418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE ROBERTS Office Manager 530-222-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: CA 29091) |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2010-11-23 |