NPI | 1700948114 |
---|---|
Entity Type | Organization |
Authorized Contact | THERESA L PASQUINELLI Provider Enrollment COO Rdinator 650-498-5710 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2006-12-14 |
Last Update Date | 2020-08-22 |