| NPI | 1316027527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA D. COITE-AQUINO Practice Administrator 510-582-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G044402) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA G20961) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2007-09-07 |