| NPI | 1043323991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTELLA M OLSEN Medical Billing Specialist 510-233-9323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2011-06-27 |