| NPI | 1396061776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE C SCOTT Owner 415-302-2506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: CA G55402) |
| Enumeration Date | 2010-04-11 |
| Last Update Date | 2010-09-03 |