| NPI | 1376619031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL P HOLDSWORTH Vice President Of Administrations C 415-600-3959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA 220000197) |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2022-01-20 |