| NPI | 1528423753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX B CALLISTER President 415-395-9955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA 3898) |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2015-12-14 |