NPI | 1740177401 |
---|---|
Entity Type | Organization |
Authorized Contact | CRISTINE HERNANDEZ CEO 510-456-8143 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry |
Enumeration Date | 2025-06-23 |
Last Update Date | 2025-06-23 |