| NPI | 1477695757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PONO VICTOR AIONA President 510-438-0294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA DC21213) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |