| NPI | 1720973225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN CABANA Chief Executive Officer 408-394-5435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2025-06-12 |
| Last Update Date | 2025-06-12 |