| NPI | 1174978688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY S PETERSON Owner 650-704-7094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: CA A65906) |
| Additional Taxonomies | 2083S0010X Preventive Medicine, Sports Medicine (Licence: CA A65906) |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2016-05-03 |