| NPI | 1053703983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIR KHAN Manager 510-755-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2015-03-02 |