| NPI | 1982955183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL J COOPER Owner 916-983-2193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: CA 020A62180) |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2012-09-27 |