NPI | 1700253556 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER HERMANSON Medical Officer 650-994-4444 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: CA A67810) |
Enumeration Date | 2015-08-27 |
Last Update Date | 2015-08-27 |