| NPI | 1679533780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA STEVENS CEO, CFO, President, & Founder 408-746-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: CA FNP 34120) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: CA CLM 311477) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2022-04-26 |