| NPI | 1306985254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORA L MASHORE Practice Manager 925-228-6517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 00C299220) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2007-10-24 |