| NPI | 1528009396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANIS SHIKANO Office Manager 510-793-3033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G4628) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G6855) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A44320) | |
| 207RR0500X Internal Medicine, Rheumatology (Licence: CA A53697) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: CA G66303) | |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2020-08-22 |