| NPI | 1679019798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA M HYLEN Chief Financial Officer 916-851-2559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA 1041SO200X) |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2020-11-18 |