| NPI | 1467635466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD C DIEBEL Physician 408-314-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site (Licence: CA G19786) |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2015-07-01 |