| NPI | 1659132553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAKE EGBERT Director Of Business Operations 415-320-7541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2024-01-17 |
| Last Update Date | 2025-04-07 |