| NPI | 1700062916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA RAMOS Office Manager 530-750-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA G61673) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA G61673) |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2018-03-08 |