NPI | 1013142280 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN H FULLERTON Owner 415-202-9990 |
Organization Subpart ? | No |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA G59000) |
Enumeration Date | 2009-05-18 |
Last Update Date | 2014-10-30 |