| NPI | 1578252441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA A MILLER Physician Owner/President 510-995-6634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2023-05-04 |
| Last Update Date | 2023-05-04 |