| NPI | 1619866969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY L RIDDLE Business Manager 530-588-1325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2025-07-01 |
| Last Update Date | 2025-07-01 |