| NPI | 1710590450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMAN WALL President/CEO 707-888-6155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2020-10-16 |