| NPI | 1538985874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENIFFER HAMILTON President 209-648-5353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2024-12-03 |
| Last Update Date | 2026-04-29 |