| NPI | 1679011035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY RICHARDS Chief Financial Officer 925-327-6735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2021-10-21 |