| NPI | 1366606766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL A. CRISTE CEO 415-884-1840 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A77821) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA G55637) |
| 208600000X Surgery (Licence: CA A65187) | |
| 208D00000X General Practice | |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2012-08-31 |