| NPI | 1174794770 |
|---|---|
| Doing Business As | N/A |
| Entity Type | Organization |
| Authorized Contact | JOHN ELLOWAY Director 415-892-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA ZZZ24941Z) |
| Enumeration Date | 2008-03-21 |
| Last Update Date | 2012-11-15 |