| NPI | 1053582288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD EDWARD BEARD Owner/Administrator 510-429-7272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA 347003531) |
| Enumeration Date | 2008-03-15 |
| Last Update Date | 2008-11-06 |