| NPI | 1265187272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IZAH SINGERMAN Office Manager 415-766-1569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2022-02-17 |
| Last Update Date | 2023-04-12 |