| NPI | 1609069830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL E WOESNER Corp President 707-463-1659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA G44111) |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2007-11-27 |