NPI | 1386948172 |
---|---|
Entity Type | Organization |
Authorized Contact | SANDRA YVONNE MOODY Hbpc Medical Director 415-750-2045 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QV0200X Clinic/Center, VA (Licence: CA 776821) |
Enumeration Date | 2011-01-07 |
Last Update Date | 2011-01-07 |