| NPI | 1033244256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL CLARENCE ANDERSON Doctor Of Medicine 510-352-6910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C21254) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |