| NPI | 1194130823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRAHAM ALEXANDER GLASS Partner 415-695-4537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: AK 10020729) |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2018-06-15 |