| NPI | 1851603278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL STEPHEN SEWELL Owner 530-885-3951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A87909) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| 261QU0200X Clinic/Center, Urgent Care | |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2010-07-14 |