| NPI | 1730500216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LELA IDUNA President 510-666-5062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: IL 036.134053) |
| Enumeration Date | 2013-12-30 |
| Last Update Date | 2014-02-13 |