| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1699748707 | CARROLL | MICHAEL | PATTEN | 10470 OLD PLACERVILLE RD | SACRAMENTO | CA | 958272539 | |
| 1871532051 | KIM | BRIAN | KAP-SOO | 10470 OLD PLACERVILLE RD | SACRAMENTO | CA | 958272539 | |
| 1790875276 | KIWAN | ELIAS | NICOLAS | 10470 OLD PLACERVILLE RD | SACRAMENTO | CA | 958272539 | |
| 1811120850 | WU | XIULI | 10470 OLD PLACERVILLE RD | SACRAMENTO | CA | 958272539 |