| NPI | 1821239237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNY MUCHAHARIYAJ Owner, Corporation Partner 916-519-0757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2009-03-13 |
| Last Update Date | 2009-03-13 |