| NPI | 1881753382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRE VAN MOL Owner 530-222-3225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA G62379) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2013-04-18 |