| NPI | 1114354271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RISHI SHAHANI Owner 510-378-9669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A37410) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA A37410) |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2014-07-14 |