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 |