| NPI | 1538689583 |
|---|---|
| Doing Business As | TAHOE FOREST MULTISPECIALTY CLINIC OB |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL BETTS CFO 530-582-6656 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207V00000X Obstetrics & Gynecology | |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2022-12-15 |