| NPI | 1689737439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID L KOSH Owner 916-689-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2015-03-10 |