| NPI | 1215242573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEOPHILE KOURY COO 510-350-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2016-05-11 |