| NPI | 1508299967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE REZA COO 408-879-0110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health (Licence: CA 070000669) |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2013-08-20 |