| NPI | 1073823332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHINNAVUTH PITOU DE MONTEIRO Owner 925-687-5210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G73896) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA G66708) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA NP14287) | |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2010-10-20 |