| NPI | 1053810069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARLAN SOUTH Owner 415-933-7788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 363LA2100X Nurse Practitioner Acute Care | |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2018-03-06 |