| NPI | 1821773045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITNEY KAUFMAN Authorized Official 530-680-8879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| 363AS0400X Physician Assistant, Surgical | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2023-06-15 |
| Last Update Date | 2023-11-14 |