| NPI | 1912312448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY YOUNG CEO 916-428-2330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA a061211) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2015-11-13 |