| NPI | 1801997242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONNI RIEMER Medical Practice Manager 916-733-8877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084S0010X Psychiatry & Neurology, Sports Medicine (Licence: CA 20A5069) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA 20A5069) |
| 2084N0600X (Licence: CA 20A5069) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2025-09-11 |