NPI | 1952841363 |
---|---|
Entity Type | Organization |
Authorized Contact | MONICA LEE GRALIAN President/Owner/ Pa C 530-941-1017 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 51427) |
363AM0700X Physician Assistant, Medical (Licence: CA 51427) | |
363AS0400X Physician Assistant, Surgical (Licence: CA 51427) | |
Enumeration Date | 2017-03-03 |
Last Update Date | 2020-10-28 |