| NPI | 1104214113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASRA NAVABI Owner 650-576-9944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA CA116768) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: NM MD2012-0589) |
| Enumeration Date | 2014-12-26 |
| Last Update Date | 2015-05-01 |