| NPI | 1194319517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERRY M LEE CEO 408-833-3158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2023-03-10 |