| NPI | 1770774184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERYOUNG YANG Owner/President 916-393-4044 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA 39500) |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2007-08-09 |