| NPI | 1346563939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITTAL C PATEL Owner / Physician 408-410-8023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A76093) |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2011-08-16 |