| NPI | 1083729727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDMUND PETER KEMPRUD Owner/Medical Physician 925-828-9211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA G28372) |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care (Licence: CA G283372) |
| 261QX0100X Clinic/Center, Occupational Medicine (Licence: CA G28372) | |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2023-03-07 |