| NPI | 1528206224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRASANNA L KRISHNAMSHETTY President 408-258-4244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A63379) |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2009-02-03 |