| NPI | 1629426101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE RIVERO Office Assistant 916-744-2627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A93972) |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2016-05-25 |