NPI | 1376325415 |
---|---|
Entity Type | Organization |
Authorized Contact | JEREMY FRANK Head Of Operations 415-602-0855 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2023-10-13 |
Last Update Date | 2024-06-24 |