| NPI | 1508075540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE CARLSON Office Manager 510-792-2012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA G29295) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2009-06-22 |