| NPI | 1063604734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRY JOEL Vice Chancellor 650-358-6767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA NP14521) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: CA NP 14521) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2007-08-15 |