| NPI | 1962750224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REZA NAZARI CEO 209-250-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA 40507) |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2019-05-14 |