| NPI | 1457599573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA JANE MOORE Owner / Sole Proprietor 415-482-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA DC-14907) |
| Enumeration Date | 2009-01-27 |
| Last Update Date | 2009-02-02 |