| NPI | 1104159102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE BOLANOS Medical Director 408-358-8801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA G52463) |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2009-09-09 |