| NPI | 1699153288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA DEMAFELIZ Business Manager 415-666-1860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: CA G40640) |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2015-05-14 |