| NPI | 1265176101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NKECHINYERE UDENYI Manager 510-334-4171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| Enumeration Date | 2022-04-26 |
| Last Update Date | 2022-09-16 |