| NPI | 1477974756 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | M. KATHERINE SORENSON Vice President, Practic Management 925-952-2888  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine | 
| Additional Taxonomies | 207Q00000X Family Medicine | 
| Enumeration Date | 2014-01-03 | 
| Last Update Date | 2014-01-03 |