| NPI | 1174074793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEOPHILE KOURY President 510-350-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2016-10-19 |