NPI | 1043078439 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES B HARRIS President 650-336-0650 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2024-03-11 |
Last Update Date | 2024-03-11 |