| NPI | 1760718670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDGARDO GENEBRALDO ALICAWAY Owner 650-756-2597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A50500) |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2009-10-28 |