| NPI | 1629149984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORRIS ROBERT BALLARD President 530-244-9750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G017510) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA G14717) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2020-08-22 |