| NPI | 1265109011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTINE HERNANDEZ Managing Member 510-456-8143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry |
| 2278P1005X Respiratory Therapist, Certified, Pulmonary Rehabilitation | |
| 261Q00000X Clinic/Center | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| Enumeration Date | 2021-08-27 |
| Last Update Date | 2023-02-08 |