NPI | 1750412300 |
---|---|
Doing Business As | TAHOE FOREST MULTISPECIALTY CLINICS |
Entity Type | Organization |
Authorized Contact | CRYSTAL NONE BETTS Chief Financial Officer 530-582-6656 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: CA 230000151) |
Enumeration Date | 2007-03-07 |
Last Update Date | 2009-08-20 |