| NPI | 1043246481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINE RUSLEN Director Of Reimbursement 510-974-8297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2017-06-30 |