| NPI | 1316386030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH CHI NG P Resident 415-397-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: CA AC582) |
| Enumeration Date | 2013-06-15 |
| Last Update Date | 2013-06-15 |