| NPI | 1629131883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH ANDREWS Chief Primary Care Division 916-875-5701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: CA C42535) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-08-22 |