| NPI | 1205186442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VLADIMIR G. SKOROKHOD Cmo 408-440-8335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: CA A98375) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2026-04-14 |