| NPI | 1144374893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI K DANZE Secretary 925-687-5210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G66708) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A93489) |
| 207R00000X Internal Medicine (Licence: CA G76121) | |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |