NPI | 1467117259 |
---|---|
Entity Type | Organization |
Authorized Contact | GIANNA PAPA Credentialing Manager 415-446-1733 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
Enumeration Date | 2021-11-05 |
Last Update Date | 2023-11-17 |