| NPI | 1679884829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE DARNICE WILLIMAN Practice Administrator 510-562-7467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0800X Clinic/Center, Endoscopy (Licence: CA 00G490990) |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2010-06-22 |