| NPI | 1538652003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER REYZELMAN Authorized Official 925-336-6062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA G59522) |
| Enumeration Date | 2018-06-10 |
| Last Update Date | 2019-12-17 |