| NPI | 1013397652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANJULA MUPPU President 925-998-4151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: CA A115266) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2023-03-07 |