| NPI | 1417156258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY D.. YAEGER Owner 925-947-0188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA DC 23434) |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2007-12-28 |