| NPI | 1699184390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN ELENA HART Owner 916-380-2007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A79820) |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2014-08-06 |