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 |