| NPI | 1467778498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED W SCHWERTLEY President 408-996-1511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA C24063) |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2015-04-30 |