| NPI | 1679600779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS K LUKE President 916-791-3024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA G16645) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2007-10-23 |