| NPI | 1912091018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA ANN SHIPP CEO 916-879-2071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 110000366) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2026-02-19 |