| NPI | 1508085150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN S. WONG Secretary 510-663-6658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA G058245) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2008-08-05 |