| NPI | 1245012384 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JEREMY FRANK Head Of Operations 415-602-0855  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty | 
| Additional Taxonomies | 261Q00000X Clinic/Center | 
| Enumeration Date | 2023-10-13 | 
| Last Update Date | 2024-06-24 |