| NPI | 1346557014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY GOULART Credentialing 510-248-1018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RC0200X Internal Medicine, Critical Care Medicine | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207RI0200X Internal Medicine, Infectious Disease | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207V00000X Obstetrics & Gynecology | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine | |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery | |
| 208000000X Pediatrics | |
| 208600000X Surgery | |
| 2086S0129X | |
| 208800000X Urology | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2025-07-14 |