| NPI | 1710543467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY A RHODES Authorized Official/President 925-932-6330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2019-05-17 |