| NPI | 1447642723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARION COOPER Billing Account Manager 415-609-8513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A41743) |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2015-02-24 |