| NPI | 1699177162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEOPHILE KOURY C.O.O. 510-350-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2015-12-17 |