| NPI | 1699061267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN BOURKE CEO 650-701-1460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine (Licence: CA A65939) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A65939) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2011-06-22 |