| NPI | 1659648301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHALIL FATTAHI President 408-378-3467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: CA A43193) |
| Enumeration Date | 2011-11-23 |
| Last Update Date | 2011-11-23 |