| NPI | 1750062816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DO Managing Member 408-887-7890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207R00000X Internal Medicine | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2024-04-12 |