| NPI | 1689670002 |
|---|---|
| Doing Business As | OVER SIXTY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | MARTY LYNCH CEO 510-981-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA 140000191) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: CA 140000191) |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2009-10-23 |