| NPI | 1982839619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY APPLEGATE Selpa Director 530-532-5620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: CA MFC 39076) |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2009-05-26 |