| NPI | 1568218485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA ALLEN Manager 916-670-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 103T00000X Psychologist |
| 163W00000X Registered Nurse | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2024-04-30 |
| Last Update Date | 2024-04-30 |