| NPI | 1306905336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA BAKERJIAN CEO Owner 415-899-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: CA 284559) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: CA 385529) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: CA 443622) | |
| 363LG0600X Nurse Practitioner Gerontology (Licence: CA 169169) | |
| 363LG0600X Nurse Practitioner Gerontology (Licence: CA 312821) | |
| 363LG0600X Nurse Practitioner Gerontology (Licence: CA 514203) | |
| 363LG0600X Nurse Practitioner Gerontology (Licence: CA 484393) | |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2008-03-22 |