| NPI | 1043248560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH S PETERS President 650-961-9430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY4724) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G33788) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2020-08-22 |