NPI | 1629236500 |
---|---|
Entity Type | Organization |
Authorized Contact | WANDA E EDMO Human Resource Director 408-445-3400 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: CA 070000118) |
Enumeration Date | 2008-05-28 |
Last Update Date | 2024-11-07 |