| NPI | 1154008167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA ELIZABETH GRANDE Billing Manager 650-697-7643 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Enumeration Date | 2023-06-30 |
| Last Update Date | 2023-06-30 |