| NPI | 1710911409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE J WHITE Physician 209-827-1440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA A64192) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-08-22 |