| NPI | 1952754673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI LYNN PERO Business Manager/Security Officer 530-893-8806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: CA A60788) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2023-08-30 |