NPI | 1679509798 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER JOHN O'GRADY Physician / Owner 831-786-8595 |
Organization Subpart ? | No |
Primary Taxonomy | 207QG0300X Family Medicine Geriatric Medicine |
Enumeration Date | 2006-06-23 |
Last Update Date | 2024-07-18 |