| NPI | 1114132941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROXANA R BLADES CFO 415-750-4101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA 220000356) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2022-06-27 |