| NPI | 1043543325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEFFREY DOTTERY CFO 510-535-7609 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: CA 05D0940091) |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2009-09-17 |