| NPI | 1609934892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL P HOLDSWORTH VP Of Administrations CFO 415-600-3959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA 220000197) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2022-01-20 |