| NPI | 1376404830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RIHAN JAVID Director 415-305-7175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 208D00000X General Practice | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) | |
| 208000000X Pediatrics | |
| Enumeration Date | 2025-11-22 |
| Last Update Date | 2026-03-06 |