| NPI | 1790135705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EHSAN SULTANI Owner 916-333-5977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2016-06-21 |