| 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 |