| NPI | 1154590958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS MONDRAGON COO 415-884-1840 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2013-04-24 |