| NPI | 1790114668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIAN SERNA CFO 916-865-1865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2017-11-27 |