| NPI | 1730463258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL A CRISTE CEO 415-884-1840 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA G73451) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty (Licence: CA G55637) |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2012-08-14 |