| NPI | 1720301344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DAVID ZAITZ Administrator 925-597-0121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 31975) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2021-08-17 |