| NPI | 1386080240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN JUSTIN SIMS Owner 408-736-0677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA G69269) |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2013-05-20 |