| NPI | 1598892622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANTELLE MITCHELL Admin. Office Manager 707-259-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G32088) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207Q00000X Family Medicine (Licence: CA G51188) | |
| 207Q00000X Family Medicine (Licence: CA G38470) | |
| 207Q00000X Family Medicine (Licence: CA G5622) | |
| 207Q00000X Family Medicine (Licence: CA G30399) | |
| 207Q00000X Family Medicine (Licence: CA A43495) | |
| 207Q00000X Family Medicine (Licence: CA A79082) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2018-06-21 |