| NPI | 1255793758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TULSIDAS GWALANI Medical Director/Owner 510-818-9237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2016-03-23 |