| NPI | 1902691660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHOEBE GUTIERREZ Consultant 916-826-4269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TH0100X Psychologist, Health Service | |
| 163WW0000X Registered Nurse, Wound Care | |
| 207N00000X Dermatology | |
| 2084H0002X Psychiatry & Neurology, Hospice and Palliative Medicine | |
| 2084P0805X | |
| 208VP0000X | |
| 363LA2100X Nurse Practitioner, Acute Care | |
| Enumeration Date | 2025-04-14 |
| Last Update Date | 2025-05-21 |