| NPI | 1588782205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XIUPING QI Owner 408-213-2928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA LAC 8226) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |