| NPI | 1487294385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BIRDSALL C.O.O 510-350-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 208600000X Surgery | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2020-02-11 |