NPI | 1376945774 |
---|---|
Entity Type | Organization |
Authorized Contact | ALEXANDER CHIU Chief Executive Officer 510-912-3636 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
Enumeration Date | 2014-09-17 |
Last Update Date | 2014-09-17 |