| NPI | 1417235532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VLADLEN V POGORELOV President 415-407-1286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA NP 17441) |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2013-10-10 |