| NPI | 1124565429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS CHEN Provider 925-461-2840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA G63956) |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2017-01-24 |