| NPI | 1386867851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOTTA L CAVAZOS Physician Assistant 415-353-2888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA PA17870) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2007-08-14 |