NPI | 1740586452 |
---|---|
Entity Type | Organization |
Authorized Contact | RONALD R VERNON Clinic Director 925-484-3472 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A11937) |
Enumeration Date | 2011-01-28 |
Last Update Date | 2012-01-09 |