| NPI | 1639472301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK E WOLPA President/ Owner 510-849-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA E1852) |
| Enumeration Date | 2010-12-17 |
| Last Update Date | 2014-05-06 |