| NPI | 1720288822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELY M. QUEIROZ Physician Assistant 650-327-1223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA ZZR11763F) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2007-07-18 |