| NPI | 1154744134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY T TRAN President/Ownere 415-593-5348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: CA 12659) |
| Enumeration Date | 2014-01-28 |
| Last Update Date | 2016-07-25 |