| NPI | 1629834346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY FRANK Head Of Operations 415-602-0855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2024-02-21 |
| Last Update Date | 2024-06-24 |