| NPI | 1518068550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID RAY RENFRO Nurse Manager/Clinical Coordinator 650-493-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA 504790) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-08-22 |