| NPI | 1659405165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OTIS EUGENE ROUNDS President 510-231-0955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA G33795) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2008-06-27 |