NPI | 1689600314 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY BURACK President 510-869-8480 |
Organization Subpart ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
Additional Taxonomies | 207R00000X Internal Medicine |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2006-06-24 |
Last Update Date | 2022-12-22 |