| NPI | 1790140333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRBY MCKAGUE CFO 916-865-1865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine Occupational Medicine |
| Additional Taxonomies | 261QX0100X Clinic/Center Occupational Medicine |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2015-12-28 |