| NPI | 1083051080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE ANSON-REBONG Owner 408-729-3232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A045814) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2014-11-03 |