| NPI | 1205159258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DMITRIY SUKHOV General Manager 925-270-5119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A83416) |
| Enumeration Date | 2010-03-04 |
| Last Update Date | 2010-03-04 |