| NPI | 1609292457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL WOLFER Physician 530-241-1455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA g20984) |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2014-03-17 |