| NPI | 1548463755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED SUESS Owner Of Practice 415-567-1791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA G262660) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2011-01-19 |