| NPI | 1194245928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA PARISH Md 925-464-3916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2017-06-22 |