| NPI | 1619062973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAYARD WON CHANG President 916-929-2526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA G064347) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2008-01-25 |