| NPI | 1497760870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW BURDUSIS Manager Of Information Systems 510-266-5401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 213E00000X Podiatrist | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2008-04-28 |