| NPI | 1720448491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEOPHILE KOURY Administrative VP O 510-350-2644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2016-02-24 |