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 |