| NPI | 1609352665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERRINA WU Chief Executive Officer 415-216-0088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2018-10-03 |