| NPI | 1679972525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BERTSCH President 916-934-8527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 38494) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 06332) |
| 101YP1600X Counselor, Pastoral (Licence: CA L11402552) | |
| 133N00000X Nutritionist | |
| 174H00000X Health Educator | |
| 207QS1201X Family Medicine, Sleep Medicine | |
| Enumeration Date | 2014-08-16 |
| Last Update Date | 2014-08-16 |