NPI | 1336891282 |
---|---|
Entity Type | Organization |
Authorized Contact | CHERRY LEE President 408-833-3158 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2022-01-21 |
Last Update Date | 2022-01-21 |