| 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 |