| NPI | 1427103746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE E. WETTACH Medical Director 408-258-8050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA C31903) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-22 |