| NPI | 1124731278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELL HUYNH Director Of Business Operations 510-239-6698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-01-04 |
| Last Update Date | 2023-10-17 |