| NPI | 1467478677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW BURDUSIS Manager Of Information Systems 510-266-5401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 208000000X Pediatrics | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 208600000X Surgery | |
| 208800000X Urology | |
| 208D00000X General Practice | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2020-08-22 |