| NPI | 1760520043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN HUGGINS Clinical Director 408-298-8789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CA MFC 19645) |
| Additional Taxonomies | 251S00000X (Licence: CA 435200039) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2020-08-22 |