| NPI | 1093390486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIENNA STECKEL Medical Director 650-219-6769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-03-16 |
| Last Update Date | 2023-05-15 |