| NPI | 1639062870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS GROSS Medical Director 530-219-8960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2025-05-29 |
| Last Update Date | 2025-05-29 |