| NPI | 1194404327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK WAYNE SHEN President 707-347-9651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2023-07-14 |
| Last Update Date | 2024-10-08 |