| NPI | 1003206244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAT MONTGOMERY Assistant Chief Of Audiology 650-493-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QV0200X Clinic/Center, VA (Licence: CA 3033) |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2015-01-26 |