| NPI | 1306366513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY WEISS General Counsel 415-310-0801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 251E00000X Home Health |
| 251K00000X Public Health or Welfare | |
| 261QC1500X Clinic/Center Community Health | |
| 261QP0905X Clinic/Center Public Health, State or Local | |
| 261QP2300X Clinic/Center Primary Care | |
| 261QR1100X Clinic/Center Research | |
| 261QS1000X Clinic/Center Student Health | |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2017-06-20 |