| NPI | 1548912553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BIRDSALL COO 510-350-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2022-01-20 |
| Last Update Date | 2022-08-25 |