| NPI | 1649479759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK TIEDEMANN CEO & President 510-428-3461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC2000X General Acute Care Hospital, Children (Licence: CA 486649) |
| Additional Taxonomies | 251S00000X (Licence: CA 486649) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2007-10-09 |