| NPI | 1861347346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMANDEEP BADWAL Owner 916-217-0756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2026-03-02 |
| Last Update Date | 2026-03-05 |