| NPI | 1457544462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA I PISTORIUS Business Manager 650-968-4747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA G56400) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2007-08-22 |