NPI | 1619022761 |
---|---|
Entity Type | Organization |
Authorized Contact | SEAN MICHAEL HALL Co Owner 510-705-8755 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA AC11334) |
Enumeration Date | 2007-01-25 |
Last Update Date | 2020-08-22 |