| NPI | 1033618525 |
|---|---|
| Other Name | VCPA/DVENT |
| Entity Type | Organization |
| Authorized Contact | KRISTINE RUSLEN Director Of Reimbursement 510-974-8297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207Y00000X Otolaryngology |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2018-02-09 |