| NPI | 1184077463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA A. REYMUNDO Physical Services Supervisor 510-204-6660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95004006) |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2016-07-21 |