| NPI | 1376145821 |
|---|---|
| Other Name | COMPANY |
| Entity Type | Organization |
| Authorized Contact | GIANNA PAPA Credentialing Manager 415-446-1733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2020-11-10 |
| Last Update Date | 2023-11-17 |