| NPI | 1013472950 |
|---|---|
| Other Name | SAN MATEO PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | PRADEEPA SELVAKUMAR Owner 650-435-8211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2019-02-05 |