| NPI | 1073835856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY O ESPEJO Managing Officer 510-717-7601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory (Licence: CA RCP5561) |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2013-05-10 |