| NPI | 1124293832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL D DELANGE Owner 510-881-1041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A070358) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-04-23 |