| NPI | 1548155815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BIRDSALL C.O.O And Vice President 510-851-7552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
| Enumeration Date | 2025-06-09 |
| Last Update Date | 2025-06-09 |