| NPI | 1558230086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROODABEH MOUSSAVI FARIDANI Owner/ Managing Member 408-509-5468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2025-11-03 |
| Last Update Date | 2025-11-03 |