NPI | 1013633163 |
---|---|
Entity Type | Organization |
Authorized Contact | NINA KINTANAR Chief Administrative Officer 510-647-5101 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Additional Taxonomies | 261QP3300X Clinic/Center, Pain |
Enumeration Date | 2022-10-19 |
Last Update Date | 2022-10-19 |