| NPI | 1538101019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON HARDY Provider Enrollment Director 925-251-6901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 2080P0204X Pediatrics Pediatric Emergency Medicine | |
| 208M00000X Hospitalist | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner Family | |
| 363LP0200X Nurse Practitioner Pediatrics | |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2020-02-20 |