| NPI | 1609891357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORINNE SUSAN JAN Chief Executive Officer 510-839-2270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133NN1002X Nutritionist, Nutrition, Education |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2020-08-22 |