| NPI | 1679931521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOSSEIN SHENASA Owner 408-918-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA A53756) |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2016-02-08 |