| NPI | 1962727107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY JAY ZIMMERMAN President 916-983-0550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: CA G054173) |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2010-03-31 |