| NPI | 1750560173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANINDER K POWAR Owner 916-781-9609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A51281) |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2007-11-01 |