| NPI | 1174834337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID REIN CFO 415-476-4003 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 220000091) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 220000091) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 220000091) | |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2010-12-02 |