| NPI | 1639204977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE WACHTEL Head Of Dept 510-428-3351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: CA G85795) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-22 |