| NPI | 1477597714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THANH QUOC TRAN Owner 415-441-4882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: CA a52468) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA a52468) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA a52468) | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2013-11-14 |