| NPI | 1598279085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW NANGALAMA President 916-549-3973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A62253) |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2024-01-19 |