| NPI | 1376093252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILY NGUYEN Clinical Operations Manager 408-362-4307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA RPH 74818) |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2016-10-04 |