| NPI | 1053607903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN J. JOLLEY President 415-888-2755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA G021951) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2020-04-16 |