| NPI | 1548876626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEOPHILE G. KOURY President 510-350-2638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 103T00000X Psychologist |
| 207QG0300X Family Medicine, Geriatric Medicine | |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine | |
| 207R00000X Internal Medicine | |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine | |
| 208D00000X General Practice | |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2021-06-16 |