| NPI | 1114384518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID J BOUDREAULT Owner 650-433-8621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A98186) |
| Enumeration Date | 2016-01-15 |
| Last Update Date | 2016-01-15 |