| NPI | 1619308210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL A BENAVIDEZ Office Manager 916-453-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A5857) |
| Enumeration Date | 2013-12-06 |
| Last Update Date | 2013-12-06 |