| NPI | 1033039466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ANDREW BIRDSALL Chief Operations Officer 510-851-7552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2026-07-16 |
| Last Update Date | 2026-07-16 |