| NPI | 1306295787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NABEEL JAMEEL MADANAT Owner 650-652-9022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA A50176) |
| Additional Taxonomies | 261QM2500X Clinic/Center Medical Specialty (Licence: CA A50176) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2016-06-07 |