| NPI | 1568015808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE MCCLINTOCK General Partner 916-663-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2025-06-18 |