| NPI | 1801979786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA WHITE Chief Executive Officer 916-364-8395 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA CO90020090) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2025-09-29 |