| NPI | 1073394110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELL HUYNH Head Of Business Operations 510-529-7768 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-10-12 |
| Last Update Date | 2023-10-17 |