| NPI | 1548234289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA MARIE JOHNSTON Practice Administrator 916-423-2123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA FNP 5539) |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2018-11-19 |