| NPI | 1568543783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES M CARLSON Managing Partner 209-549-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G27090) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-22 |