| NPI | 1922664200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN P DUTTON Medical Director 916-215-4554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2024-03-05 |