| NPI | 1639618481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TET TOE Owner/Physician 916-542-1458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A105047) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2026-06-04 |