| NPI | 1093176331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KWI BULOW Lead Physician 650-721-3099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA G566674) |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2016-03-15 |