| NPI | 1245497155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIN PHUNG Bus. Adm 510-331-1887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA G38306) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: CA G383060) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2008-05-19 |