| NPI | 1750586020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN GEST Medical Doctor 916-365-4565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: CA G058556) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2023-08-31 |