| NPI | 1457366833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA GAETA CARREON President 510-797-1554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA a063278) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2011-08-09 |