| NPI | 1700391968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH P HENRY Owner/Doctor 510-409-6511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A116018) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A121536) |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2024-10-25 |