| NPI | 1245336809 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DENNIS YUNMING FONG Provider 925-934-2333  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207Q00000X Family Medicine | 
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA G83720)  | 
| Enumeration Date | 2006-09-14 | 
| Last Update Date | 2020-11-20 |