| NPI | 1972957520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIAN SERNA C.F.O 916-865-1865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207N00000X Dermatology |
| 207V00000X Obstetrics & Gynecology | |
| 207X00000X Orthopaedic Surgery | |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2018-01-09 |