| NPI | 1306984836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN KLEBANOFF Practice Owner 510-848-7977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G51271) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2013-02-07 |