| NPI | 1720228224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE KUO Billing Manager 650-631-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: CA C50055) |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2009-02-24 |