| NPI | 1487277604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLYMPIA BLISS CEO 650-833-9203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2025-07-18 |