NPI | 1659648202 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDA KATEHI Chancellor 530-752-2065 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: CA G26076) |
Enumeration Date | 2011-11-28 |
Last Update Date | 2011-11-28 |