| NPI | 1538356035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT PARK Owner 707-765-1501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA G22984) |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2007-10-10 |