| NPI | 1538759543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH ROY AMBROSE Pres 916-933-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care |
| 363LF0000X Nurse Practitioner Family | |
| 363LX0106X Nurse Practitioner Occupational Health | |
| Enumeration Date | 2021-01-23 |
| Last Update Date | 2021-01-23 |