| NPI | 1215960091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI A KHONSARI CFO Business Manager 925-755-1255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 48607) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2012-12-19 |