| NPI | 1154543254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE SWANSON Medical Records Coordinator 415-554-8494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: CA 220000498) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2019-05-28 |