| NPI | 1700966686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK KLEBANOV Doctor 925-296-0344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: CA A54480) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2020-08-22 |