| NPI | 1376952515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAWADA MOJADDIDI Administrataive Manager 510-745-9151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2014-08-12 |