| NPI | 1811970106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OCTAVIO D CAMASURA Medical Director 530-755-0856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A25994) |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2020-08-22 |