| NPI | 1710636113 |
|---|---|
| Former Legal Business Name | THE PILL CLUB MEDICAL GROUP PROFESSIONAL ASSOCIATION |
| Entity Type | Organization |
| Authorized Contact | SAJAD ZALZALA Owner 650-285-6927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2022-03-22 |
| Last Update Date | 2023-02-27 |