| NPI | 1659756187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUNO MEDEIROS Supervising Physician 650-724-4394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0200X Clinic/Center Oncology (Licence: CA 95001605) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: CA 95001605) |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2015-07-27 |