| NPI | 1073126710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIANNA PAPA Credentialing Manager 415-446-1733 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2023-11-17 |