| NPI | 1518358480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA CHORYUN WONG Physician 415-566-8799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A110373) |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2015-02-12 |