| NPI | 1124202296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESITA YEE DEGAMO CEO 650-580-6479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA C50610) |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2011-10-24 |