| NPI | 1942963442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL IKEMIRE CEO 916-500-8086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2021-10-21 |
| Last Update Date | 2022-12-16 |