NPI | 1245565357 |
---|---|
Doing Business As | MENLO MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | KRISTINE RUSLEN Director 650-498-6631 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
207Y00000X Otolaryngology | |
207N00000X Dermatology | |
207RG0100X Internal Medicine, Gastroenterology | |
Enumeration Date | 2009-10-07 |
Last Update Date | 2022-07-21 |