| NPI | 1700306222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEEGEE ELIZABETH DOUGLAS Administrator 510-887-3068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A109325) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2022-07-21 |