| NPI | 1164880761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WALSH Controller 650-940-7240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2022-11-02 |