| NPI | 1174923684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM MOTSIFF CFO 408-795-3707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health |
| Additional Taxonomies | 3336C0002X Pharmacy Clinic Pharmacy (Licence: CA 2510) |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2019-07-25 |