| NPI | 1023397098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTOPHER M. SMITH CFO 925-251-6933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2014-01-10 |