| NPI | 1114011186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CIPRIANO M DE LOS REYES President Owner 510-222-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A29537) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |