| NPI | 1174078315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAIDA BEHNAM Owner 925-640-1980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A82694) |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2018-08-31 |